High-Risk Newborn

Taking Your Baby Home

Most are excited to take their baby home after days or weeks in the NICU. But the idea can make some parents nervous. When a baby is ready to go home depends on many things. Each baby must be checked to see if he or she is ready. And, the family must be prepared to provide any special care for the baby.

Parents need to be ready to give their baby all the special care he or she will need at home.

The American Academy of Pediatrics (AAP) has some ideas on when high-risk newborn babies should go home. The following general information about discharge is based on those guidelines. Ask your baby's health care provider for more specific information, based on the needs and medical condition of your child.

Generally, babies may be ready to go home when they:

Are steadily gaining weight

Have a stable temperature in a regular crib

Can feed from a bottle or the breast without difficulty breathing or other problems

Have mature and stable heart and breathing ability

Babies also need:

Any necessary shots

Screening tests, including vision and hearing

Examinations to look for additional problems

Treatment plans for on-going medical problems

Parents and other home caregivers need instruction in:

Feeding

Basic baby care (baths, skin care, taking temperature, etc.)

Infant CPR (cardiopulmonary resuscitation)

Symptoms of illness

Sleep positioning and car seat safety

Use and care of special medical devices or equipment

Giving medications

Performing special procedures or care such as suctioning or special dressings

The follow-up care plan for each baby includes identifying a primary health care provider and specialists to help with any special needs of the baby. Parents also need to get the home ready for the baby. This may include arranging for special home care services or equipment.

If possible, request a parenting room so you can stay with your baby a night or two before taking your baby home. This often helps parents feel more secure because they can take over the care of their baby with nurses and other care providers nearby. Ask if your hospital has a hotline number or call center you can call if you have questions once you take your baby home.